Mastoid Surgery in the Only Hearing Ear

Tagle, Juan Ramon V. Perez de; Fenton, John E.; Fagan, Paul

doi:10.1097/00005537-199601000-00013

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…Although in our previous articles concerning functional results of mastoidectomy for the same cohort of patients (11,12), we encountered several factors that influenced results, in the present study only three seemed to have the expected influence on drainage results, including type of disease, type of perforation and type of surgery. Presence of cholesteatoma increased the rate of drainage success by 11%, marginal perforation by 7% and MRM by 4% (Figs.…”

Section: Resultscontrasting

confidence: 47%

“…This retrospective non-controlled study took into consideration the same random selection of 200 long-term patients with both radical CWD and modified radical mastoidectomy (MRM), performed over a 3-year period. The techniques for both types of surgery are well-known and described in literature (5,11,12). The initial cohort was comprised of 209 patients, of which nine died (eight of causes non-related to middle-ear disease, one directly related to middle-ear disease after otogenic brain abscess).…”

Section: Methodsmentioning

confidence: 99%

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Analysis of long‑term anatomic results of radical mastoidectomy

Mocanu

Mocanu²,

Coadă

et al. 2021

Exp Ther Med

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A long-term, retrospective, non-controlled study was performed on the drainage results of mastoidectomy (both radical and modified radical) and the relevant statistical factors that could influence the anatomic outcome were defined. The present study took into consideration the same cohort of 200 patients we have communicated with before in our previous studies concerning the long-term functional results of mastoidectomy and long-term results of ossicular replacement with biovitroceramic prosthesis. The patients were clinically followed for the same period of 8.12 years. The drainage (anatomic) results, similar to previously published functional results, were defined by analytical function of the severity and the period of evolution of disease. The main goal was to define the situations and factors (presence of complications, type of disease, type of tympanic perforation or status of ossicular chain) that influenced the drainage results that could provide us with some type of anatomical prognosis. The follow-up started at the moment of complete epithelization for each cavity as time represents the main study comparison criteria. Drainage failure was assessed by the number of otorrhea episodes. It was concluded that practically and ideally, a maximum of 84% of the mastoid and petrous cells can be cleaned out. The results of 78% drainage success are congruent to this theory. The remaining 16% of cells may contain irreversible lesions.

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Section: Resultscontrasting

confidence: 47%

Section: Methodsmentioning

confidence: 99%

Analysis of long‑term anatomic results of radical mastoidectomy

Mocanu

Mocanu²,

Coadă

et al. 2021

Exp Ther Med

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“…The technique of modified radical mastoidectomy employed by the senior author, heavily indebted to the teachings of Fisch, 6,7 has been described well elsewhere. 1,8,9 The important principles include: extensive bevelling of bone and removal of the mastoid tip to allow soft tissue draping and hence produce a small cavity; positive identification of the facial nerve to eliminate the facial ridge; careful attention to the anterior epitympanum; and anterior canalplasty with lowering of the floor of the ear canal to encourage epithelial migration.…”

Section: Methodsmentioning

confidence: 99%

Long-term outcome of modified radical mastoidectomy

et al. 2004

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The primary aim of treatment of cholesteatoma is to attain a dry, safe, stable ear, free of disease. Maintaining or improving hearing is important but the pursuit of a hearing result should not compromise this primary aim. This study reviews the long-term outcome of 133 patients, suffering from advanced disease, who underwent modified radical mastoidectomy between 1995 and 2000. Of these, 49 per cent had had previous mastoid surgery elsewhere. A dry, waterproof ear was attained in 95 per cent of patients. In 77 per cent of patients, hearing was unchanged or improved. In this period, there were two cases of significant post-operative loss in bone conduction, including one dead ear secondary to suppurative labyrinthitis. There were epithelial pearls on follow up in two per cent. These results indicate that when properly performed, modified radical mastoidectomy provides safe surgical access and clears disease with low recurrence rates while mostly maintaining or improving hearing.

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“…Yamamoto, et al 5) performed canal wall-up mastoidectomy with tympanoplasty in 16 of 30 patients in 1997. Perez de Tagle, et al 6) performed canal wall-down mastoidectomy with tympanoplasty in 7 of 8 patients. Sakagsami, et al 7) recommended a type 1 tympanoplasty without mastoidectomy for chronic otitis media and a canal wall-down mastoidectomy with ossicular reconstruction in patients with cholesteatoma.…”

Section: Discussionmentioning

confidence: 99%

Middle Ear Surgery in Only Hearing Ears and Postoperative Hearing Rehabilitation

et al. 2014

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Background and ObjectivesThe aim of this study was to evaluate surgical interventions and hearing rehabilitation in patients with chronic middle ear disease of only hearing ears.Subjects and MethodsThirty-one patients with chronic middle ear disease of only hearing ears were enrolled in this retrospective study. Patients were classified into three groups according to the hearing level: groups A [pure tone audiometry (PTA)<40], B (40≤PTA<70), and C (PTA≥70). We evaluated hearing results and patterns of auditory rehabilitation.ResultsThe main consideration for a surgical procedure was the presence of recurrent otorrhea and structural destruction. The reasons for surgical intervention in only hearing ears were otorrhea caused by chronic otitis media (68%), cholesteatoma (29%), and cholesterol granuloma (3%). The causes of contralateral deaf ears were chronic otitis media (81%) and sensorineural hearing loss (19%). Although there was hearing deterioration in some patients with severe hearing loss (PTA≥70), all patients achieved dry ears after surgery and functional hearing using auditory rehabilitation. Hearing aids were used in most patients with moderate to moderately severe hearing loss and cochlear implants were used for auditory rehabilitation in patients with severe to profound hearing loss.ConclusionsProper evaluation and indications for surgery in only hearing ears are important for successful eradication of inflammation and hearing preservation. Surgical interventions can achieve dry ear and enable further auditory rehabilitations using hearing aids and cochlear implantation.

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Mastoid Surgery in the Only Hearing Ear

Cited by 10 publications

References 14 publications

Analysis of long‑term anatomic results of radical mastoidectomy

Analysis of long‑term anatomic results of radical mastoidectomy

Long-term outcome of modified radical mastoidectomy

Middle Ear Surgery in Only Hearing Ears and Postoperative Hearing Rehabilitation

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